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HomeMy WebLinkAbout0500 OCEAN STREET (63) r,� i �"'E ►o Town of Barnstable _ BL111C�1 T - _ ing +Post`This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job_and this Card Must be Kept '- p Posted Until Final Inspection Has,Been Made. 639 1 �5d +" Where a Certificate of,Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. �� mit _ M Permit No. B-18-2798 Applicant Name: Anthony Nese Approvals . Date Issued: 10/26/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/26/2019 Foundation: Location: 500 UNIT 146 OCEAN STREET, HYANNIS Map/Lot: 324-040-OOE Zoning District: RB Sheathing: Owner on Record: ODONNELL,JOHN&ELLEN Contractor Name: ANTHONY M NESE Framing: 1 Address: 52 MARY CATHERINE DRIVE Contractor License: CS-090335 2 . LANCASTER, MA 01523 Est. Project Cost: $4,000.00 Chimney: Description: Remove and install (3)direct replacement Andersen windows Permitfee: $ 160.00 Insulation: Project Review Req: Fee Paid: $ 160.00 Date: 10/26/2018 Final: Plumbing/Gas — Rough Plumbing: g Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. ' All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: " 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department, Buildingplans are to be available on site Final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 2_4 O �-kpoo Application #PD 1 Health Division Date Issued Z- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address .;4 C/4 Village 0017 Owners Address ew�/o� yE, L_dnc�x ��tt Telephone f— 9' `a(i Permit Request r-Is fi r! Viz ) Ale(✓ 6//1, -7LS Square feet: 1 st floor: existing proposed 2nd floor: existing So proposed Total new 't0 3"�ao�3av -Zoning District 16C` Flood Plain Groundwater Overlay Project Valuations Construction Type 1 Lot Size k Grandfathered: ❑Yes ),No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) i Z o I F '� g y Age of Existing Structure 2-7 Historic L�Historic House: Yes No On Old Kin'g4� Hi hwa�. ❑ ". b No Basement Type: ❑ �f Full Crawl ❑Walkout ❑ Other " Q k` Basement Finished Area (sq.ft.) O Basement Unfinished Area (sq i) ' ? T? Number of Baths: Full: existing new 'eS Half: existing ne v . Ln Number of Bedrooms: existing ?Cnew CD Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: &'Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes f No Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use -� �' -1 Proposed Use- _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number G —_27 6 Address 1-n"/- c) License # 0 �' Home Improvement Contractor# /5-­} 6 o Email. 1�//�, ��' C/ �`� , yo+� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE —7 /� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING c DATT CLOSED OUT ASSMMP ATION.PLAN NO. » . The Yachtsman 500 Ocean Street, Hyannis, MA 02601 Yachtsman Condominium Trust P.O. Box 1283 Hyannis, MA 02601-1283 (508)775-1515 DATE RE: Unit A/to 'Yachtsman Condominium Trust, 500 Ocean Street, Hyannis To the Town of Barnstable Building Commissioner, The Board of Trustees for the Yachtsman Condominium Trust voted and approved the attached proposal to be performed as is delineated in the request we received from the Unit Owners_ This letter serves as notice of that vote to approve the proposal, which has been noted in the Minutes of the Board Meeting. Signed Under the Pains and Penalties of Perjury this 1/ day of Fie,6 , 20 . S rry,baustee Yachtsman Condominium Trust .500 Ocean Street (c/o Manager's Office) Hyannis, MA 02601 Enc./File The Yachtsman 500 Ocean Street, Hyannis, MA 02501 Yachtsman Condominium Trust (508)775-1515 Request for Authorization Improvements/Alterations to Units [,(we) �okiA`1 Ft re�j c) ot� •C'. U owners of unit# !�6 do hereby apply to the Yachtsman Condominium Trust; pursuant to Article V,Section 5.6.2.of the-By-Laws of the Y.C.T.,permission for our contractor to carry out the following improvementss alterations: Atwlok�j pes�c Contractor: SCC ?i • 1�C 'V10 t-i a.Contractors must have a valid license and have both workman's compensation and liability insurance. b.No work may commence that affects any common area until a certificate of insurance is delivered to the Yachtsman Property Management Office(YCT PMO). c.Any improvement that affects structure(walls,pipes, inside or out),plumbing,and/or electrical requires proper permits as so required by the town of Barnstable are requested to have a copy on file with the YCT PMO. d.It is the unit owner's responsibility to ensure that contractors they hire have pulled the required permits and put them on display in a window facing the street and/or parking lot during construction. e.Attach additional documents as needed to communicate details of the improvement/alteration. Window Slider_ cations& Types): 2 5 i L 'kt �i��PSGy1 IC�1'7lt�irtnc' �i•�4'i Air Conditioners(Locations& Types): 74V 62) Ali-6 fOi4 ell.s ap t W<�%uw' f I A yatm% s l -r Gito 4aX14 &cf W 4c�^ lZav L UL. ' 7Av4t 'A4W tygll GfL,r�n /,6j74 dc- 5trig sleeve 9E S,-t^ee/y Other Improvements/Alterations(Locations and Types): 1G C1t -Lt ecl: 7 ________________________ x° Please submit this form to'the Yachtsman Property Management Office for Review. Version 12-2013 d r gD PKA 11V. 1, UU1/ UU1 'G CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYW) 2/11/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the poricy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER a CONTACT Nnny Burns Cleary Tnsurance Znc P °NE (617)723�0700 Fax (617)729-7275 226 Causeway Street .nburns@clearyinsurance.com IN50RER 3 AFFORDING COVERAGE NAIC 0 Boston MA 02114-2155 INsuRERA:Peerless Indemnit Insurance 18333 INSURED INSURERB:zurich American Insurance Co. 6535W Sandy Neck Builders, LLC INSURER C: Anthony Nose INSURERP: 35 Biscaynes Drive INSURERE: Marston Mille MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER:2/11/14 update BOP Auto W REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIRP-MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INA BR POLICY NUMBER MMroDNYVV POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AMA RENTED 100,000 Ea occurrence $ A CLAIMS-MADE FXI OCCUR CEPBS13111 9/2/2013 /2/2014 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 CEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 JECT }X POLICY PRO- LOC $ AUTOM06ILE LIABILITY 52MBIN, .'dT?RGiLrI I 1,000,000 ANY AUTO BODILY INJURY(Per person) S A ALL OWNED X SCHEDULED BA5813110 /2/2014 /2/2015 BODILY INJURY(Per accldent) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per eccided) O Donal bodly i $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S RED XCESS LIAB CLAIMS-MADE AGGREGATE $ I I RETENTION$ $ B WOPKERS COMPENSATION X WC STq - I OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNIR/EXECUTIVE N/A E.L.EACH ACCIDENT $ 5QQ 000 OF IXCLUDED7 fiZZtJB-0656N52-5—i3 6/19/2013 6/19/201.4 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If es,describe under DMRIPTION OF OPERATIONS below E,L,DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarke Schedule,If more space le required) CERTIFICATE HOLDER CANCELLATION (508)7r90-6230 SHOULD ANY OK THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE- THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS, Attn: Building Dept. AUTHORIZED REPRESENTATIVE 200 Main Street Hyannis, MA 02601 Nancy Burns/NAB �(/iotta� /v- �.rkiC�.✓�1 ACORD 25(2010106) ©1988-2010 ACORD CORPORATION, All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD ' The Common",ea :ofMassachuseft Department of Industrial accidents Q,, ce of Int<Jestigations 600 Washington Street y Boston,MA 02111 rt-'mv mass.govfdia Workers' Compensation Insurance Affidavit: Builders/Contra rs/.Electricians/Plumbers Applicant Information Please Print Legibly Name loh -oc;eC 1-5;o, �V� °�V•�Cl�� �•�—�' Address: Y9 A4 r4o�-, City/Stat_(—GJ, ranA 0ZG&;i_ Ph g- Are yow an employer"check the appropriate box- T project �-. am a general con tractor and I Type of Proj (required): 1. I am a employer ur th ! ❑ I g 6- ❑New const motion. employees(full ancVor part-time).* .have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contractors have 8- ❑Demolition woAcing for me in any capacity. employees and have wodcers' 9. ❑Building addition. [No workm' corup.insurance comp-insurance required.] 5- ❑ We are a corporation and its 10_❑Electrical repairs:or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself o ' right of exemption per MGL [� workers �P- 12.❑ of tnpairs insurance required.]T c. 152,§1(4),and we have na employees.[No workers' 13. other comp-insurance required.] *Any apples thst checks box#1 mnst also fill out the section below showing then weAere compensation policy informz&m 1 Romeoanen who submit this affid nit in&catmg they are doing an weak am,d then hire outsi&contractors must submit a new affidavit ind ca#ag such. :Contractors that check this box must attached sn additions]sheet showing the name of the sub-contractors and on whether or not those entities have employees. If the sub-cantimctorshave employees,they must provide ureic worker'romp.policy number. lam an empio},er that is proiiding it orkers'compensation irisurimce for my empLpjwes. Beloly is the policy and jab site infarmatfon. Instirmce Company Name: �U>'e C�� t'm Cam.✓1 Policy 9 or Self-ins.Lic.#:6-LZy 0GS-ts A�'�` S=/0 EkpirationDate: 6/l C1 Job Site Address: 600 ®<�r �— U�' ( ' b CitylStatelZip: �I�Iant1i.S t A 4 d 7-6o Attach a+Grapy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 andfor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hembj,ceWft,under t pains and penahiws of p 'In.,that the information prmided abmw is date and correct. Si Date: Phone# �-" ----------------- Official rase only. Du not writs in this area,to bg completed by city or town official City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing Inspector_ 6.Other Contact Person: Phone#: 6 { Office of Consumer Affairs&Bo Loess Regnlahon _ HOME IMPROVEMENT CONTRACTOR a Registration ,1,59608 Type: Expiration. 5/15/2014 Ltd Liability Corpo SA Y NECK BUILbERS g IV - ANTHONY NESE, t - � . i 179 ROBBINS ST OSTERVILLE,MA 02655 Undersecretary i i Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-090335 ANTHONY M NESE ; 35 BISCAYNE tV026ZJ,4pg��V) Marston NURs ` �f % w l4""N Expiration ' Commissioner 11/09/2014 t Unrestricted-Buildings of any use group which f contain less than 35,000 cubic feet(991m3)of` enclosed space. 's 4 e Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. i For DPS Licensing information visit: www.Mass.Gov/DPS nse o �registration valid for individu'1 use only before`tFie exprrafio-,:date: 1.found return to: Of cc,cf Ceusumer Affairs and Business Regulation ti 10 Park plaza-Suite 5170 Boston,MA 02116 I -Not valid without signature o� Town of Ba>r>n�stable regulatory Services . ns, �,, Thames F Geiier,Director6.3 Bu idingD-1vision ; . Toro Ne�°Building commissioner 200`Main Street;�,Hyamis:MA026,01 www:town:ba rnsfa b ie:m a.ns' Office:::508-8624038 Pax: A8 796-6230 Pro..perty Owner Must Complete and Sign This Section If Us' A'Bwil.der rI:-Thy xc��P-ri� rn�� as Owner of the'subject property hereby atithoiize. nho�5 / 2J� to act on.my behalf in all.mattets relative to work authorized'by d is building ertntt application for. yQ�h �s an �,1 (Adds of Job) Signature dfA6wner Date Y7.^ Pruit.Natne _ R, - If f r 1 Oum rs o , erm t ease com fete th •H m i P, '�Y PPg P P . , ,. P e o eow�aers L cense Exemption Form oti the revetse;side A d Town of Barnstable *Permit# ;5j�c00aCc�, Expires 6 months from issue dale X-PRIESS eRp Regulatory Services Fee - 00 Thomas F.Geiler,Director APR 2 8 2006 Building Division TO VVN OF Tom Perry,CBO, Building Commissioner BgRN$TgBLE 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us 9 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEZUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 7 '7 10 o Ole- Property Address 0 0C C4711 d G>7/ �/ - d ❑Residential Value of Work _ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Al/a Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I ❑ I have Worker's Compensation Insurance Insurance Company Name Wor(='s Comp.Policy# Copy`uf Insurance Compliance Certificate must be on file. , PermNequest(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ' ❑Re-roof(not stripping. Going over existing layers of roof) -"' ❑ Re-side (replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement C ntractors License is required. SIGNATURE: ` Q:Forms:expmtrg Revise071405 Department of hidastiid Accidents. ' Office of Investigations' ' 600 Washington Street s Boston,MA 02111' www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Flectiidans/Plunnlbers pyRcant Informatibn Please Print Les blAA ame (Business/Orpnizationandividual): ZC ,ddress•_ �00. CceP;7.c S } d/1 T • �7 'i /State/Zip: - nl Phone#: ty re you an employer? Check the appropriate box:. Type of project(required): am a.employer with 4. ElI am a general contractor and I ' 6. ❑New construction employees (full'and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet.$ 7• ❑ Remodeling • ship and have no employees These sub-contractors have 8. Demolition working for mein any capacity. workers' comp.insurance. • g• 0 Building addition ti 5. ❑ We are a corporation and its [No workers Co msarance 10.❑ Electrical repairs or.additions ,required.] officers have exercised their I am a homeowner doing all work right of exemption per MGL 11❑ Phmmbing iepairs or additions elf.(No workers' comp, , 152,§1(4),and we have no 12.❑ Roof repairs insuraneerequked.]t erlmployees.(No workersz' 13.❑ Other '. • comp.insurance required.] ay applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: ;orneowners who submit this affidavit indicating they an doing all-work and then hire outside contractor;must submit a new affidavit indicating such. mtractors that check this box must attached an additional sheet showing the name of the sub-contmbtors and their workers'comp.policy information. va an employer that is providing workers compensation insurance for my employees. Below is the policy and job site formation. surance•Company Name: )licy#or Self-ins.Lia#: Expiration Date: b Site Address, City/State/Zip: ttach a copy of the workers' compensation policy declaration page(showing the policy number and•expiration date). n7ure to.secure coverage as required under Section 25A of MGL c. 152 can:lead to the imposition of criminal penalties of a ne up to$.1,100,0O and/or one-year imprisonment; as well as civil penalties m the form of a STOP'WORK ORDER and a fine Pup to$250.00 a day against the violator..,$e advised that a copy of this statement maye forwarded to the Office of investigations of the DIA for insurance coverage verification. do hereby certify under the pains and penafiles'of penury that the information provided above is t e and correct ;i atc>re: Dater 4 'hone#• Official use only. Do not write in this area,to be completed by city.or town official. City or Town: Permit/License# Issuing Authority(circle.one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.-Plumbing Inspector 6.Other Co ntact Person: Phone#: Information Wad. Instructions General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Massachusetts person in the service-of another under any contract of hire, Pursuant to this statute, an employee is defined as"...every express or implied,oral or written." ;• ;' • ti or an two or more er is dp#'med as"AU��4�,.p�MIp,.,association, Fnrpora#on or other legal ea tY, • y 'T. An employ a and inciu$ing the legal representatives of a deceased employer,or the ' of the foregoing•engaged in a joint enterpris , to to ees. How;yjcr.t�e receiver or trustee of an individual,partnership, association or other IegaI entity,employing emp Y oyyner of a dwe]ling hous a having not more than three apartments and who resides therein,or.the occapant of the dwelling house of another who employs persons to do maintenance,construction or repair woiK'on such dwelling house appurtenant shall notbecause of such employmentbe deemed to be an employer." building app or onihe grounds orb g• • ' hhold the fssuauce or . MGL chapter 152, §25C(6)also states that"every state or local licensing.agency shall wit renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any who has not produced acceptable evidence-of t compliance with hhtnor anyinsurance ofits Pcoverage be�ions shall applicantter 152, 25C(7)states either the commomv Additionally,MGL chap .. § enter into any contract for the perfomsance of public work until acceptable.'evidence of corpliance with the insurance M 1equaemcnts of this chapter have been presented to the contracting authority. Applicants : • .. fill if out .the workers' co4ensation affidavit completely,by checking The boxest Opp ertificy to a e(s)of situation�� pleasecontractor(s)name(s), addresses)and phone numbers) g with theit necessary,supply sub' Companies(LLC)or Limited Liability Partnerships(UP)with no employees other than the insurance. Limited Lure no Comp members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have . loers o a policy is required. Be advised that this affidavitmay be submitted to the Department Of Industrial �P tion of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should Accidents for confirma permit the yLot the be returned to the city or town that the appli uestionation s,regarding the la license if you are required to obtain a t of Industrial Accidents. Should you have any q comp ensatioupolicy,please call the Department at the number listed below, Self-insured companies should eater their self-insurance license number""'he appropriate line. City or Town Officials . ibly e bottom t has Please be sure that the affidavit is complete the Office of Investigati'Dons has toncoatact you regarding th provided a space ateaPP1i an of the affidavit for you t° ° m the event ense number which will be used as a reference number. In addition, an applicaat-• Please be sure'to fill in the permit/hc le ermrVhcense applications in any given year,need only submit one affidavit indicating current that must submit multiple P and under"Job Site Address"•the applicant should write"all locations in ' (city or policy inform(if necessary) ed or marked by the city or town may be provided to the tows)."A copy of the--affidavit that has been officially stamp applimt as proof that•a valid affidavit is•en file for;future perm:i -or-lic each enses.;A new affid avitm st be filled out. year.Where a home owner or citizen is obtaining a licens n is NOfi r not iclatrd t�any nired to complete thiseaffidavrt's or eraial venture (i.e.a dog license or permit to burn leaves etc.)said pets eq h'ke to thank you in for your coaporation and should you have The Office oflnvestigations would any questions, please do not hesitate t0 give us a call. The D ent's address,telephone and fax numben ePartm The Commonwealth of Massachusetts . •_; Department of IndUstriaLAccidents .. • : . Offte of Investigations r. b00•Washingfon Street V Boston,MA 02111 ' ^ 'Tel.r 617-727-4900 ext 406 or 1-877-MASSAFE fax#617-727�-774 gamed 5-26105 www.mass.gov/dia y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 312 y Parcel O O o E ' !; 4= Application# 0 CO J!1C �D �. Health Division 3 u `f,: EFEEC ACCOUNT' Conservation Division -Tax Collector �0 6 � �� /fit'//:`' Date Issued Treasurer /� Application Fee o. &-ZD Planning Dept. Permit Fee i O Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address S 0 0 O Cep Village w�y A=AlailtyS Owner KI4 Address Telephone 9 7t 66 0 e7— (yell) Pf f % 41160 (9) Permit Request Ara <� P r"S1,II NeJ Square feet: tsUleer existing /930 proposed 2nd floor:existing proposed Total new 00 Zoning District Flood Plain Groundwater Overlay Project Valuation�i j" c-C1y Construction Type Av-es i9tr ceop ieY, Lot Size �, _Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) (�'A4dMl ',IkM Age of Existing Structure vn Historic House: ❑Yes 4No On Old King's Highway: ❑Yes XNo Basement Type: ❑Full W Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) � Basement Unfinished Area(sq.ft) AI IA Number of Baths: Full:existing - new Half:existing new Number of Bedrooms: existing a new —3 Total Room Count(not including baths):existing 5' new tD First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other Central Air: ❑Yes No Fireplaces:Existing New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes: ._ )(No If yes, site plan review# Current Use - Proposed Use BUILDER INFORMATION Name_LU I L L l AM H. -F'R 1=, M.6& Telephone Number Address 79 aT 'iPI W�MI\/ RI> License# CAS' 6 gq t�h f Oakzrn l i MA- Di��(' Home Improvement Contractor# I Worker's Compensation# _fig. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Af? U ' SIGNATURE15&xlve) DATE �. r I ! 'pp— FOR OFFICIAL USE ONLY r, ,PERMIT NO. , DATE ISSUED - MAP/PARCEUNO. ADDRESS VILLAGE w� OWNER DATE OF INSPECTION: ' FOUNDATION U FRAME .7- ?� INSULATION_— Gr�= FIREPLACE ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL ' GAS: r `ROUGH FINAL r FINAL BUILDING 'i DATE CLOSED OUT ASSOCIATION PLAN NO. • j 1 -BUILDER INFORMATION Name U F L L;1, ( EN A/ Telephone Number Address 79 License# CAS' 6gg4,--A ER wcu Jd MA- 4s)j&A( Home Improvement Contractor# Worker's Compensation# , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' AiF— U F SIGNATURE DATE AiVI-Ell -L . „�©D6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,a �y�' Map y Parcel O q O O E E;`: Application# j 6 /5 Health Division 3 `CONIUECTED '." ��rER ACCOUW Conservation Division ._, �� —`=—; nit# Tax Collector zZ310 ��u��� _"'/,r t{ '; :-.._ Date Issued Treasurer 41 Application Fee O. &79 Planning Dept. Permit Fee C 1 OD Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 500 d GeA-0 Village Owner Klm Address /lIGK ; 11 _R14 Telephone 9 7? 66 D Yr Fz (veil) P7f f6 f 44-0 (9) Permit Request 4 — SNs II Neij 4'0 4; - l� Square feet: l.sLflearr existing /330 proposed 2nd floor:existing proposed Total new 1,500 fl;+ Zoning District Flood Plain Groundwater Overlay Project Valuation /` , czay Construction Type i s Ce PP le Lot Size 9,VGrandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ermc6 .,�vl m Age of Existing Structure Historic House: ❑Yes 4No On Old King's Highway: ❑Yes XNo Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 14A Basement Unfinished Area(sq.ft) N _ Number of Baths: Full:existing a new Half:existing new Number of Bedrooms: existing new 3 r Total Room Count(not including baths):existing S new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil X Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes �(No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes.. ._ No If-yes,site plan review# Current Use � - - � Proposed Use BUILDER INFORMATION Name �='C! / Telephone Number Address f�e %�( f( Ad License# 41(dic;C &I/��// Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE e/-3r 0 d FOR OFFICIAL USE ONLY ~ PERMIT NO. , DATE ISSUED MAP/PARCEL-NO. `` ADDRESS VILLAGE a I � OWNER DATE OF INSPECTION: FOUNDATION -FRAME '7' Q INSULATION` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: `tROUGH FINAL GAS: — ROUGH FINAL i FINAL BUILDING 'j DATE CLOSED OUT ASSOCIATION PLAN NO. I + i 71.�ar vmaru�sew�i o�, o BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 3 Number CS., 079244 Birtt tlate U.r 113%1938 Expires 00113/2007 Tr.no: 12162 Restricted 00 . WILLIAM H FREEMAN 79 EAST PRINCETON RD PRINSTON, MA 01541 Commissioner Town of Barnstable _tia y Regulatory Services • BAR 91AI o - . y nsAss. Thomas F.Geiler,Director 39 9. �ppED .t n`e$ Bulidlug 11HV131oY1. .. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 _ www.town.barnstable..ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must - . Complete and Sign This Section . If Using ABuilder I, C . /G/�_ ,as Owner of the subject property r/,�yy herebyauthorize ���%}'1�_ .4-N to act on my behalf, in all matters relative to work authorized by this building permit application for: r Soo 0Ge . SR, n - (Address of J b) 7 - Signature of OY r Date Print Name Q TORM&OVJNERPERMISSION v M y 7E A a Q.Ca "7,3 Ed and Michele Ding September 239 05 32 Mirick Road Princeton, MA 01541 Re: Window & Slider Replacement Dear Mr. and Mrs. King, At our recent Board of Trustees Meeting we discussed your request to change you r windows and sliding doors. The Board approved your request as long as the work is performs according to all state and local building codes and is performed by a licensed and adequately insured (both workman's compensation and liability insurances contractor. The windows and sliders must match the Anderson windows currently being used throughout the complex. It is your responsibility to make sure thatany required permits are obtained from the Town of Barnstable. Work can not commence until a valid certificate of insurance and proof of workman's compensation insurance sprovid toed to The Board. Please mail a copy of these certificates The Yachtsman P.O. Box 1238 Hyannis, MA 02601 Additionally, we request that you ask your contractor to reuse as many as the weathered cedar shingles as possible to help prevent the patchwork appearance when new shingles are used around new windows. Sincerely, Stev n M. Patalano, MD Secretary/Clerk YCT